Breast punct aspir cyst, bil at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$272.48
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$1,557.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$34.98 with BCBS vs $2,888.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| BCBS | Medicare|All Plans | $34.98 | ↓ -87% |
| UNITED | Medicare|All Plans | $35.68 | ↓ -87% |
| AMERIVANTAGE | Medicare|All Plans | $36.03 | ↓ -87% |
| SCANHealth | Medicare|All Plans | $37.43 | ↓ -86% |
| AETNA | Medicare|All Plans | $39.75 | ↓ -85% |
| Wellpoint | Medicaid|All Other Plans | $46.75 | ↓ -83% |
| Ambetter | Commercial|All Plans | $50.73 | ↓ -81% |
| Wellpoint | Commercial|Exchange | $52.47 | ↓ -81% |
| Wellpoint | Medicaid|STAR | $56.10 | ↓ -79% |
| Bright Health | Commercial|All Plans | $62.27 | ↓ -77% |
| SUPERIOR | Medicaid|CHIP | $62.33 | ↓ -77% |
| UNITED | Medicaid|STARKIDS | $63.58 | ↓ -77% |
| UNITED | Medicaid|All Other Plans | $63.58 | ↓ -77% |
| SUPERIOR | Medicaid|All Other Plans | $65.45 | ↓ -76% |
| BCBS | Medicaid|STARKIDS | $65.45 | ↓ -76% |
| Entrust | Commercial|All Plans | $76.32 | ↓ -72% |
| SUPERIOR | Medicaid|STAR | $78.54 | ↓ -71% |
| Health Smart | Commercial|All Plans | $87.45 | ↓ -68% |
| First Health | Commercial|All Plans | $95.40 | ↓ -65% |
| Humana | Commercial|All Plans | $96.99 | ↓ -64% |
| Cigna | Commercial|All Other Plans | $101.76 | ↓ -63% |
| Aetna | Commercial|All Plans | $101.76 | ↓ -63% |
| Ellwood | Commercial|All Plans | $104.94 | ↓ -61% |
| BCBS-TX | Commercial|Blue Premier | $109.13 | ↓ -60% |
| BCBS-TX | Commercial|Blue Advantage HMO | $109.91 | ↓ -60% |
| BCBS-TX | Commercial|HMO | $116.93 | ↓ -57% |
| United | Commercial|All Other Plans | $124.02 | ↓ -54% |
| BCBS-TX | Commercial|PPO | $128.62 | ↓ -53% |
| PHCS | Commercial|All Plans | $135.15 | ↓ -50% |
| Multiplan | Commercial|All Plans | $143.10 | ↓ -47% |
| SUPERIOR | Medicaid|STARPLUS | $145.23 | ↓ -47% |
| UNITED | Medicaid|STARPLUS | $148.35 | ↓ -46% |
| BCBS-TX | Commercial|Ref Lab | $159.00 | ↓ -42% |
| United | Commercial|Exchange | $1,508.00 | ↑ +453% |
| Cigna | Commercial|Local Plus | $2,888.00 | ↑ +960% |
Visitor-reported prices
Comments
Breast punct aspir cyst, bil at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,188.00 | $59.25 – $1,742.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $973.24 | $63.40 – $1,742.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $971.78 | $59.25 – $1,742.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,188.00 | $59.25 – $1,742.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $973.24 | $63.40 – $1,742.94 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $973.24 | $59.25 – $1,742.94 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $971.78 | $59.25 – $1,742.94 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,188.00 | $59.25 – $1,742.94 |